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<br />. PERMITTEE NAME/ADDRESS (Include Fac{liry NamrlLacanon ijDif/ercnq
<br />' ~ NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPOESJ FOrm APPfOVBd.
<br />NAME
<br />PITT:iDURG E MIDNAY „OAL MINING DISCHARGE MONITORING REPORT (OMR)
<br />lINOR OMB ND. 2040-0004
<br />ADDRESSgp NA MINE R nn a (5083 NN]
<br />P. O. dDX ~b51d PERMIT NUMBER DISCHARGE NUMBER F - FINAL ROUT'P
<br />FACILITY ENGLEMOOD CO 40155-657.4 MONITORING PERIOD SDRFACE RUNOFF Tp OAK CREEK
<br />LOCATION YEAR MO DAY YEAR MO DAY _ .
<br />FROM U TO 31 a#~`- ND_ DISCHARGE ~) h00_ _
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<br /> ~- QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br /> PARAMETER EX of TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM r AVERAGE MAXIMUM UNITS ~{'~{3
<br /> PN SAMPLE #^•Ra#4 ##C#Q¢ ##CrF# ^ ( 12)
<br /> MEASUREMENT
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<br /> 57LIU5, TOTAL .SAMPLE ~ t4Rkp3 C8'r400 4##### ~ ( ] ~)
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<br /> SULiOS, :iET1'LEABLE SAMPLE ~"{'#{"^b,# #~4a#R #rYdtOrOti ( ZS)
<br /> MEASUREMENT
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<br /> t,YPLUENT GROSS VALUE ~i~41ti EM Nj _ t.," "~'~ `" ^t•C{-T ~,: :~F~ v , ~ ; ML/L Y.L.,r u a„
<br /> OIL t GP.E.4 iE SAMPLE d0#}Or +.`-#z##R
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<br /> - MEASUREMENT ~
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<br />" Ik7N, TOTAL SAMPLE #4#0#0 ~'# ~`#~{ #44AYQ ( lq)
<br /> ' ~(A$ Ig) MEASUREMENT
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<br />, FBHU ~=REATHENT PLAN MEASUREMENT
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<br /> NAME/TITLE PRINCIPAL EXECUTR/E OFFICER ICertiy untler penalty ol, law that this tlocumenc and all enacnments were
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<br />inclutlin Vie ossibili of line antl .m risonment far knawin violalians. OFFICER OR AUTHORIZED AGENT
<br />NUMBER
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<br /> ennuneGUrc aNn FXPIANATION OF ANV VIOI ATIONS /Rwfnranrw all wNachmanGC hwrel
<br />s1.i5 6 TDTAL IRON LI:fIT3 JILL BE YAIYED, AND SET?LEABLE SOLIDS LIMIT APPLIED FOR <=l0YR,2LLHH-PRECIP EVEN9`-
<br />56E L A.1, PG IY, FOR REQUIREMENTS., QRTRLY SAMPLING INS?RUCTIONS-I.C.9, PC VIII.
<br />~Pq~Form 3320-T (REV 3(9~ -PfeYiops editioD's may be usecJ. ,, '. ~ .. ~ IS I PART FORM PAGE OF
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